CME Credit Information
Children’s of Alabama designates this enduring material for a maximum of 6.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Children’s of Alabama and the Pediatric Pulmonary Center. Children’s of Alabama is accredited by the Medical Association of the State of Alabama to provide continuing medical education for physicians.
*Please note that all modules require the viewer to submit both the quiz and evaluation at the end of viewing in order to obtain credit.
This enduring material received no commercial support. This activity is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services. Please see Acknowledgments for specific grant numbers.
Planners Disclosure Information
Consistent with Children's of Alabama CME policy, planners for this Enduring Material are required to disclose to you any economic or other personal interests that create, or may be perceived as creating, a conflict related to the material discussed. This policy is intended to make participants aware of planners’ interest so they may form their own judgments about the educational material provided. Full disclosure, including the nature of any planners’ relationship(s) with commercial interests is listed below.
Planner Disclosure:
The following Planners of this Enduring Material have nothing to disclose.
- L. Francine Caffey, MD
- Maida Chen, MD
- Daniel Combs, MD
- Susan Horky, LCSW
- Leslie Lord, BS, MS
- Patricia Marshik, PharmD
- Camilla Matthews, MD
- Hanna Phan, PharmD
- Jennifer Sonney, PhD
- Brad Troxler, MD
- Mary Abby Wagner, MD
Content Reviewer Information
Children's of Alabama requires that the content of CME activities and related materials provide balance, independence, objectivity and scientific rigor. Content must be free of the influence or control of a commercial entity and must promote improvements or quality in healthcare.
Regarding CME content, it is the policy and expectation of Children's of Alabama that:
- All recommendations involving clinical medicine are based on evidence that is accepted within the profession of medicine as adequate justification for their indications and contraindications in the care of patients.
- All scientific research referred to, reported or used in this activity in support of justification of a patient care recommendation conform to the generally accepted standards of experimental design, data collection and analysis.
Content review was conducted prior to this presentation and considered compliant with the standards listed above by one or more of the following reviewers:
The following content reviewers have nothing to disclose:
- Mary Halsey Maddox, MD
- Brad Troxler, MD
- Mary Abby Wagner, MD
Original Release Date: January 02, 2018
Review Date: January 01, 2021
Termination Date: January 02, 2024
Disclaimer Statement
This enduring material does not necessarily reflect the views, opinions, policies or procedures of Children’s of Alabama, its staff or representatives. Children’s of Alabama cannot and does not assume any responsibility for the use, misuse or misapplication of any information.
Module/CME Instructions
A minimum performance level of 75% must be demonstrated in order to successfully complete the module.
*Please note that all modules require the viewer to submit both the quiz and evaluation at the end of viewing in order to obtain credit.
An AMA PRA Category 1 Credit™ certificate will be available for physicians and a Certificate of Attendance will be available for non MD and DO participants who pass a post test and submit an evaluation.
Learning Objectives:
Upon completion of this enduring material, participants will be able to:
- Classify normal sleep amounts at different stages of pediatric development.
- Interpret given patient specific information, to determine normal vs. abnormal sleep habits.
- Discuss factors that are conducive to good sleep hygiene.
- Recognize cultural beliefs that influence sleep habits.
Content Developers of this module have nothing to disclose:
- Tanya Baker-McCue, M.E.d.
Director of Operations – Family and Community Supports Division at the Center for Development and Disability, University of New Mexico, Albuquerque, NM
- L. Francine Caffey, MD
Assistant Professor of Pediatrics, Pediatric Pulmonary Division,
University of New Mexico Health Sciences Center, Albuquerque, NM
- Shannon Gregg, MS, RD, LD
Senior Clinical Nutritionist, Pediatric Pulmonary Division
University of New Mexico, Albuquerque, NM
- Judy Liesveld, PhD, CPNP
Associate Professor, University of New Mexico, Albuquerque, NM
- Patricia Marshik
Associate Professor of Pharmacy, University of Mexico Health Sciences, Albuquerque, NM
- Abby Redway, RRT-NPS BOE
Registered Respiratory Therapy Specialist, Pulmonary Services Department
University of New Mexico, Albuquerque, NM
Content Developers did not include commercial products or services nor non-FDA approved uses of products/providers of services.
Bibliography Resources:
- Sleep Regulation, Physiology, Development, Sleep Duration and Patterns, Sleep Hygiene in Infants, Toddlers and Pre-School-Age Children. Bathory, D., MD and Tomopoulos, S., MD. Curr Probl Pediatr Adolesc Health Care. 2017 Feb;47(2):29-42. doi: 10.1016/j.cppeds.2016.12.001. Epub 2017 Jan 20.
- Paruthi S, Brooks LJ, D Ambrosio et al. Recommended Amount of Sleep for Pediatric Populations: A consensus Statement of the American Academy of Sleep Medicine. J Clin Sleep Med 2016;12(6):785-6.
- Hirshkowitz M, Whiton K, Albert SM, et al. The National Sleep Foundation’s sleep time duration recommendations: methodology and results summary. Sleep Health 2015;1:233-243
- Infants, Children and Adolescents Safe Sleep/Sleep Hygiene section compiled from Hagan, JF, Shaw, JS and Duncan, M. (2007).Bright Futures, 3rd Edition Guidelines for Health Supervision of Infants, Children, and Adolescents.
- Curr Probl Pediatr Adolesc Health Care. 2017 Feb;47(2):29-42. doi: 10.1016/j.cppeds.2016.12.001. Epub 2017 Jan 20.
- National Sleep Foundation
- NIH: National Heart, Lung and Blood Institute
- Infographic: Accidental Suffocation and Strangulation
- Sudden Unexpected Infant Death and Sudden Infant Death Syndrome
- American Academy of Pediatrics 2016 Policy Statement
- National Institute of Child Health and Development “Safe to Sleep” public education campaign.
This site contains materials for both professionals and families on infant safe sleep. (it also has web-ready images of families from diverse cultures which might be appropriate for this module). Providers can order educational materials free of charge.
- Cribs for Kids® National Infant Safe Sleep Initiative.
This is a coalition of organizations who support safe sleep. The site contains tool kits, links to local affiliates who provide cribs for families, and product recall information. The group sponsors an annual conference.
- Wisconsin Sleep: Your Child's Sleep Study
Here are some videos that may be helpful for families/ children preparing for a sleep study.
- SIDS and Other Sleep-Related Infant Deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment
- Sudden Unexpected Infant Death and Sudden Infant Death Syndrome
- About SUID and SIDS
- Sudden Unexpected Infant Death and Sudden Infant Death Syndrome
Original Release Date: January 02, 2018
Review Date: January 01, 2021
Termination Date: January 02, 2024
Estimated Time of Module: 1 hour
Approved Credit:
Children’s of Alabama designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Children’s of Alabama and the Pediatric Pulmonary Center. Children’s of Alabama is accredited by the Medical Association of the State of Alabama to provide continuing medical education for physicians.
Learning Objectives:
Upon completion of this enduring material, participants will be able to:
- Categorize the various kinds of insomnia across the developmental spectrum.
- Identify the contributing factors of insomnia.
- Help families to identify and overcome barriers to treatment of insomnia.
- Compose the basics of an insomnia treatment plan, including a threshold for further referral.
- Recognize key features of insomnia in specific conditions.
Content Developers of this module have nothing to disclose:
- Maida Chen, MD
Associate Professor of Pediatrics, Department of Pediatrics, Pulmonary Sleep Medicine Division
University of Washington School of Medicine, Seattle, WA
- Jennifer Sonney, PhD, ARNP, PPCNP-BC
Assistant Professor, Family and Child Nursing
University of Washington, Seattle, WA
Content Developers did not include commercial products or services nor non-FDA approved uses of products/providers of services.
Bibliography Resources:
Original Release Date: January 02, 2018
Review Date: January 01, 2021
Termination Date: January 02, 2024
Estimated Time of Module: 1 hour
Approved Credit:
Children’s of Alabama designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Children’s of Alabama and the Pediatric Pulmonary Center. Children’s of Alabama is accredited by the Medical Association of the State of Alabama to provide continuing medical education for physicians.
Learning Objectives:
Upon completion of this enduring material, participants will be able to:
- Describe consequences of untreated sleep-disordered breathing.
- Predict if a child is at high risk for sleep-disordered breathing.
- Select appropriate treatments for sleep-disordered breathing based on patient factors.
Content Developers of this module have nothing to disclose:
- Daniel Combs, MD
Assistant Professor of Pediatric, University of Arizona, Tucson, AZ
- Joanne Douthit, RN, MN, CPN
Clinical Associate Professor, University of Arizona, Tucson, AZ
- Mary McGuire, LMSW
Social Worker, University of Arizona Pediatric Pulmonary Center, Tucson, AZ
- Hanna Phan, PharmD, FCCP
Department of Pharmacy Practice and Science, College of Pharmacy
Department of Pediatrics, Section of Pediatric Pulmonology and Sleep, College of Medicine
Asthma and Airway Disease Research Center, College of Medicine
University of Arizona, Tucson, AZ
Content Developers did not include commercial products or services nor non-FDA approved uses of products/providers of services.
Bibliography Resources:
- American Academy of Pediatrics obstructive sleep apnea clinical practice guideline
- Genetics home reference: Congenital central hypoventilation syndrome
- Late-onset central hypoventilation with hypothalamic dysfunction (formerly known as ROHHAD)
- Nehme J, LaBerge R, Pothos M, Barrowman N, Hoey L, Monsour A, Kukko M, Katz SL. Predicting the presence of sleep-disordered breathing in children with Down syndrome. Sleep Med. 2017 Aug;36:104-108.
- McGrath B, Lerman J. Pediatric sleep-disordered breathing: an update on diagnostic testing. Curr Opin Anaesthesiol. 2017 Jun;30(3):357-361.
- Biggs SN, Vlahandonis A, Anderson V, Bourke R, Nixon GM, Davey MJ, Horne RS. Long-term changes in neurocognition and behavior following treatment of sleep disordered breathing in school-aged children. Sleep. 2014 Jan 1;37(1):77-84.
- Walter LM, Biggs SN, Nisbet LC, Weichard AJ, Hollis SL, Davey MJ, Anderson V, Nixon GM, Horne RS. Long-Term Improvements in Sleep and Respiratory Parameters in Preschool Children Following Treatment of Sleep Disordered Breathing. J Clin Sleep Med. 2015 Oct 15;11(10):1143-51.
Original Release Date: January 02, 2018
Review Date: January 01, 2021
Termination Date: January 02, 2024
Estimated Time of Module: 1 hour
Approved Credit:
Children’s of Alabama designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Children’s of Alabama and the Pediatric Pulmonary Center. Children’s of Alabama is accredited by the Medical Association of the State of Alabama to provide continuing medical education for physicians.
Learning Objectives:
Upon completion of this enduring material, participants will be able to:
- Describe the triggers for sleepwalking and possible treatment options.
- Recognize the differences of NREM parasomnias.
- Recognize the differences between night terrors and sleepwalking versus nightmares versus nocturnal seizures.
- Create an evaluation and treatment plan for a child with bedwetting / nocturnal enuresis.
Content Developers of this module have nothing to disclose:
- Shelly Eagen, MS-PNP/Nurse Educator
Pediatric Nurse Practitioner, Pediatric Pulmonary, University of Wisconsin, Madison, WI
- Kari Jordahl
Senior Instructional Designer/Developer, University of Wisconsin, Madison, WI
- Greg Konop
Academic Technology Supervisor of Online Course Production, Supervisor of Video Production,
University of Wisconsin, Madison, WI
- Carolyn Daughtry Krill
Academic Technology, DoIT, University of Wisconsin, Madison, WI
- Leslie Lord
Program Administrator & Outreach Specialist, Department of Pediatrics,
Pulmonary & Sleep Medicine Division, University of Wisconsin, Madison, WI
- Mary Marcus
Clinical Instructor, Department of Nutritional Sciences, University of Wisconsin, Madison, WI
- Camilla Matthews, MD
Associate Professor, Department of Pediatrics, Division of Pediatric Pulmonology and Sleep Medicine
University of Wisconsin School of Medicine and Public Health, Madison, WI
- Mark Neufeld
Instructional Designer and Educational Technologist, DoIT Academic Technology
University of Wisconsin, Madison, WI
- Mary Schroth, MD, FCCP
Professor of Pediatrics, University of Wisoconsin School of Medical and Public Health, Madison, WI
- Rhonda Yngsdal-Krenz, MBA, RRT-NPS
RT Core Faculty Discipline Chief, UW PPC, University of Wisconsin Hospital and Clinics, Madison, WI
Content Developers did not include commercial products or services nor non-FDA approved uses of products/providers of services.
Bibliography Resources:
Sleepwalking Resources
Nightmare Resources
Night Terrors and Sleepwalking Resources
Bedwetting Resources
Original Release Date: January 02, 2018
Review Date: January 01, 2021
Termination Date: January 02, 2024
Estimated Time of Module: 1 hour
Approved Credit:
Children’s of Alabama designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Children’s of Alabama and the Pediatric Pulmonary Center. Children’s of Alabama is accredited by the Medical Association of the State of Alabama to provide continuing medical education for physicians.
Learning Objectives:
Upon completion of this enduring material, participants will be able to:
- Describe components of a comprehensive sleep history that are specific to pediatric and adolescent patients.
- Explain the role of the PSG and MSLT in the diagnosis of Narcolepsy.
- Differentiate when a child or adolescent should be referred to a Sleep Disorders Center with experience in treating children and adolescents.
- Explain the roles of team member (physician, specialty physician, nutritionist, respiratory therapist, social worker, nurse) for patients diagnosed with EDS, Narcolepsy, and KLS.
Content Developers of this module have nothing to disclose:
- Stephanie Gamble, RRT
Registered Respiratory Therapist Coordinator
University of Alabama Birmingham Division of Pediatric Pulmonary Medicine, Birmingham, AL
- Claire Lenker, LCSW
Associate Professor University of Alabama Birmingham
Division of Pediatric Pulmonary and Sleep Medicine, Birmingham, AL
- Theresa Rodgers, DNP
Nurse Faculty Pediatric Pulmonary Center,
UAB Pediatric Pulmonary Division, Children’s of Alabama, Birmingham, AL
- Linda Russo, MAE, BS, RRT-NPS
Faculty and Family Leader,
University of Alabama Birmingham Pediatric Pulmonary Center, Birmingham, AL
- Valerie Tarn, MS, RD
Assistant Professor, University of Alabama Birmingham Division of Pediatric Pulmonary Medicine
Pediatric Pulmonary Center Training Director, Birmingham, AL
- Bradley Troxler, MD
Associate Professor, University of Alabama Birmingham Division of Pediatric Pulmonary Medicine
Director, Pediatric Pulmonary Center and Children’s of Alabama Sleep Disorders Center, Birmingham, AL
Content Developers did not include commercial products or services nor non-FDA approved uses of products/providers of services.
Bibliography Resources:
- Narcolepsy Network.org
This site has information on various services and supports for people with Narcolepsy, including how to talk to school personnel, asking for accommodations with standardized testing, and other helpful tips.
- Wake up narcolepsy
This
is a non-profit dedicated to increasing awareness of Narcolepsy and to funding research. Here is one very helpful page has information on Narcolepsy and SSI.
- Wrightslaw
This site has many helpful resources regarding special education, for example, the difference between an Individualized Education Plan (IEP) and a 504 Plan.
- The National Sleep Foundation
The National Sleep Foundation maintains a list of state laws related to sleepy driving. These are changing rapidly as awareness is increasing, so be sure to check with your state for the most up to date information.
- Family Voices
This national organization connects families of children with special needs (like narcolepsy) to resources and to each other. Each state also has a Family-to-Family Health Information Center, where parents can receive information from other parents.
Tools
- Narcolepsy Form Letter
- Idiopathic Hypersomnia Form Letter
Original Release Date: January 02, 2018
Review Date: January 01, 2021
Termination Date: January 02, 2024
Estimated Time of Module: 1 hour
Approved Credit:
Children’s of Alabama designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Children’s of Alabama and the Pediatric Pulmonary Center. Children’s of Alabama is accredited by the Medical Association of the State of Alabama to provide continuing medical education for physicians.
Learning Objectives:
Upon completion of this enduring material, participants will be able to:
- Recognize that Rhythmic Movement Disorder (RMD) can be seen in normal children and share this with the family.
- Describe what happens in RMD.
- Recognize that sleep disruption by Periodic Leg Movement During Sleep (PLMS) can have adverse daytime consequences.
- Recognize that PLMS can lead to difficulty initiating and maintaining sleep (DIMS).
- Identify approaches to the treatment for PLMS.
Content Developers of this module have nothing to disclose
except for Ellen Bowser: discloses a financial relationship with the Academy of Nutrition & Dietetics as Lead Analyst/consultant related to COPD.
- Ellen Bowser, BSN, MS, RD
Faculty Nutritionist, University of Florida, Gainesville, FL
- Susan Horky, LCSW
Associate in Pediatrics, Co-Director PPC Training Program, Department of Pediatrics,
Pediatric Pulmonary Division, University of Florida College of Medicine, Gainesville, FL
- Angela Miney
Family Partner, University of Florida Pediatric Pulmonary Center, Gainesville, FL
- Abby Wagner, MD
Associate Professor, Division of Pediatric Pulmonary Diseases, Department of Pediatrics
University of Florida College of Medicine, Gainesville, FL
Content Developers did not include commercial products or services nor non-FDA approved uses of products/providers of services.
Bibliography Resources:
Original Release Date: January 02, 2018
Review Date: January 01, 2021
Termination Date: January 02, 2024
Estimated Time of Module: 1 hour
Approved Credit:
Children’s of Alabama designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Children’s of Alabama and the Pediatric Pulmonary Center. Children’s of Alabama is accredited by the Medical Association of the State of Alabama to provide continuing medical education for physicians.